Individual provider Active NPI

Victoria Kranz, MD

  • Legal Medicine
  • Lake Bluff, IL
National Provider Identifier
1669546768
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Practice address
33 N Waukegan Rd
Suite 202
Lake Bluff, IL 60044-1664
Phone
(847) 615-9978
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X IL Primary

Addresses

Primary practice location

33 N Waukegan Rd
Suite 202
Lake Bluff, IL 60044-1664

Mailing address

33 N Waukegan Rd
Suite 202
Lake Bluff, IL 60044-1664
Phone (847) 615-9978

Other identifiers 1

IdentifierTypeStateIssuer
049-00128OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000039 IL Practitioner - Psychiatry 5294825592 Practice locations: Lake Bluff, IL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 N Waukegan Rd
Suite 202
Lake Bluff, IL 60044-1664
Phone (847) 615-9978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-073630ILMDLegal Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669546768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N WAUKEGAN RD",
            "address_2": "SUITE 202",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441664",
            "telephone_number": "847-615-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N WAUKEGAN RD",
            "address_2": "SUITE 202",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441664",
            "telephone_number": "847-615-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANZ",
        "first_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "049-00128",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

Verify at the official NPI Registry.